SOTB (06-0914)60350 Living Stone Dr
06-0914
APN: ' 764-270-999-54 -300233-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 9000
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine and Professionals C2 e, and my License is in full force and effect.
License Class: C53 License o.: 869106
ate: 7 - u(p Contractor: Z
0NER-BI3 E ECLARATION
I hereby affirm under penalty of perjury that I am a empt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044,.Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that -the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.). '
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
MAZZA
60-350 LIVING STONE DR
LA QUINTA, CA 92253
Contractor:
ACE POOLS
42116 PITCHFORK RD.
ea► INDIO, CA 92203
(760)578-8780
Lic. No.: 869106
VOICE (760) 777-7012 K'
FAX (760) 777-7011
INSPECTIONS (760) 7.77-7153 " .
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700,of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 22906
I certify that, in the performance of the work for which this permit is issued, I shall nbt employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I o fffld become subject to the workers' compensation provisions of Section
/�/ 3700 of the Labor Code, I shall forth om ly with tttgge provisions.
Date: ,.?-0(— APPlican. U
WARNING: FAILURE TO SECURE WORK COM SA ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND ON
FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the -
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agiee to comply with all
city and county ordinances and state laws relating to bei g constructio .end -h eby authorize representatives
of thi ounty to enter upon the above-mentioned prop inspectic purposes. 1
Dater Signature (Applicant or Agent):
6
LQPERMIT
r1
- Application Number, . . . . . 06-00000914
�.
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 108.00. Plan Check Fee
70.20
Issue Date Valuation
9000
Expiration Date . 9/03/06
Qty Unit Charge Per
Extension
BASE FEE_
45.00
7.00 9.0000 THOU BLDG 2,001-25,000
-----------------------------------------------------------------------------
63:00
Permit ELEC-MISCELLANEOUS
Additional desc
Permit Fee . . . . 17.25. Plan Check Fee
". 4.31
Issue Date Valuation
0
-� Expiration Date 9/C-3/06
W�
Qty Unit Charge 'Per'
Extension
BASE FEE
15.00
3.00' .7500 PER ELEC DEVICE/FIXTURE 1ST 20
77
2.25
Permit . . . PLUMBING
Additional desc .
Permit Fee 24.00 Plan Check Fee
5.25
Issue Date 'Valuation . . .
. 0
Expiration Date 9/03/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 6.0000 EA PLB FIXTURE
6.00
1.0.0 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------
Special Notes and Comments
BARBEQUE & FIREPIT ONLY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE
7.02
Fee summary Charged Paid Credited
Due
------ ---------- ----------
Permit Fee Total 149.25 .00 .00
149.25
Plan Check Total 79.76 .00 .00
79.76
Other Fee Total 7.02 .00 .00
7.02
Grand Total 236.03 .00 .00
236.03
LQPERMIT
1
Bin #'
f
City of. La Quinta
Building 8t Safety Division
_ P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
06
Project Address: Yo ' ; %J )'W1 , p
Owner's Name: + C i
-(tn S f i'AZ A
A. P. Number:
Address:
Legal Description:
City, ST, Zip: C,/1
Contractor: C 7 ecx) S
Address:
Telephone: 'j '] r% — .:. may.._ '�^ •
Pro•ect Description:
City, ST, Zip: oynol
Telephone:.—
State Lie. # : City Lie: #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
�f
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: i
APPLICANT: DO NOT WRITE BELOW THIS LINE'
#
Submittal
Req'd
Recd
TRACIMG
PERMIT•FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Sa 718
Flood plain plan
Plans resubmitted ,
Mechanical
Grading, plan'
god Review, ready for corrections/issue
Electrical
.3 Ov7/CICS
Subcontactor.List
Grant Deed
Called Contact Person
Plans picked up
,.1NA
Plumbing
S.M.I.
I— VOW&
Oilll�7
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub: Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
4
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MASTER
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DOORS 11
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MASTER
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BATH
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LAUNDRY
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OPTIONAL OPT
LANDSCAPE PLAN DESIGN IL DOOR SERVICE
DOOR
BILLY &'CHRIS 'MAZZA
`60350 LIVINGSTONE DR. BEDRO
2 -CAR GARAGE
TRILOGY 908 387 8856 0 PT. UDY/@ aFP
Act
760 777,4257 OPT. S PER
An
_(PSITAS
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